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General NPI Number Information
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NPI Number | 1093950966
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Entity Type | Organization
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Legal Business Name | SANGITA W. TREHAN DDS LTD INCORPORATED
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 202 S COOK ST SUITE 204
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City | BARRINGTON
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State | IL
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Zip | 60010-4369
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Country | US
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Telephone | 847-381-5466
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Fax | 847-381-5536
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Provider Business Mailing Address
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Address Line | 202 S COOK ST SUITE 204
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City | BARRINGTON
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State | IL
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Zip | 60010-4369
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Country | US
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Telephone | 847-381-5466
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Fax | 847-381-5536
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Authorized Official
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Title or Position | OWNER
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Name | SANGITA W TREHAN
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Credential | DDS
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Telephone | 847-381-5644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019023675
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License Number State | IL
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